Beacan Maker Fun Factory VBS Registration
Register your children ages 4-12 for our Maker Fun Factory Vacation Bible Camp at Beacan Presbyterian Church at 413 Simcoe Street, Beaverton. Our Camp runs from 9:00am to 12:30pm, Monday July 9 to Friday July 13. Lunch, Snacks, Games and tons of fun included! Plus, come join us at 11:30 on Friday for the kid's concert and a potluck lunch! Can't wait to see you at the Fun Factory!

If you have any questions or concerns, please do not hesitate to email laurie.roseb@gmail.com or call 9054766176

Are you over 13 and still want to participate in our camp? Contact us at the above email or phone number to find out how to volunteer!

Participant's Name *
Your answer
Participant's Date of Birth (including year) *
Your answer
Parent/Guardian Name(s) *
Your answer
Phone Number *
Your answer
Alternate Phone Number
Your answer
Contact Email (We will only email you with VBS related information)
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Photographs will be taken at camp. I hereby grant Beacan Presbyterian Church permission to reproduce and use, for promotional and other purposes, photographs taken of my child during this camp. *
Do you give permission for your child to walk to/from camp alone? (Child must be at least 10 years of age) *
Alternate Pick-Up: I give permission for the following people to pick up my child (Photo identification is required for pick-up of your camper) *
Your answer
Does your child have any allergies or medical conditions? If yes, please list below. *
Your answer
Does your child have any dietary restrictions? If yes, please specify. *
Your answer
Does your child need medications to be dispensed throughout the day? (This includes auto-injectors, puffers, and EpiPens) *
If you answered yes to the previous question, please list the following information below: Child's doctor and phone number, name of medication dispensed, medication dosage, medication time, medication is to be taken with, and any additional information.
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Is there anything else we should be aware of to provide the best care for your child? *
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I hereby state that all of the information above is accurate to the best of my knowledge. *
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